| NPI | 1972830040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO E BORME Owner 972-661-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: TX E3211) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |